Abstract
Background
The number of children requiring treatment of skin and soft tissue infections (SSTIs)
has increased since the emergence of methicillin-resistant Staphylococcus aureus.
Methods
The 2000, 2003, and 2006 Kids' Inpatient Databases were queried for patients with
a primary diagnosis of SSTI. Weighted data were analyzed to estimate temporal changes
in incidence, incision and drainage (I&D) rate, and economic burden. Factors associated
with I&D were analyzed by multivariable logistic regression.
Results
Pediatric SSTI admissions increased (1) in number, (2) as a fraction of all hospital
admissions, and (3) in incidence per 100,000 children from the years 2000 (17,525
± 838; 0.65%; 23.2) to 2003 (27,463 ± 1652; 0.99%; 36.2) and 2006 (48,228 ± 2223;
1.77%; 62.7). Children younger than 3 years accounted for 49.6% of SSTI admissions
in 2006, up from 32.5% in 2000. Utilization of I&D increased during the study period
from 26.0% to 43.8%. Factors most associated with requiring I&D were age less than
3 years and calendar year 2006 (both P < .001). Hospital costs per patient increased over time and were higher in the group
of patients who required I&D ($4296 ± $84 vs $3521 ± $81; P < .001; year 2006). Aggregate national costs reached $184.0 ± $9.4 million in 2006.
Conclusion
The recent spike in pediatric SSTIs has disproportionately affected children younger
than 3 years, and an increasing fraction of these children require I&D. The national
economic burden is substantial.
Key words
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Article info
Publication history
Accepted:
May 11,
2011
Received in revised form:
April 13,
2011
Received:
February 1,
2011
Footnotes
☆There are no disclosures to report. MVR participates in the American College of Surgeons Clinical Scholars in Residence Program. MVR is supported by the John Gray Research Fellowship and the Daniel F. and Ada L. Rice Foundation.
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
